Adenomatous polyp: Symptoms a me ka iapaau ana

Paha kēlā me kēia o ko mākou Kahalaopuna discomfort, e moe ana me ka makau i ka lohe ana i kaʻike, "i ka maʻi 'aʻai." Epekema a puni ke ao nei noho 'īnea nei me ka ahuoi wahi i hele mai, a pehea ka mea, ua malamaia lakou nei, me ka 100% kumu hoʻomalu, akā, auwe, a me nā hualoaʻa i loaa ole ia. ʻike, "adenomatous polyp" 'aʻole e kani ai gloomy, a hiki i ia mea e wehewehe loa mau kanaka i pili me ka laau lapaau. Ia manawa, i kēia maʻi ua noʻonoʻo i ka precancerous ana, no laila ia mea'āina pilikia loa. ʻo ka poʻe nāna i loaʻa ia, e pono e lawe koke hana, e malama i ke ola, a hiki i ko lakou mau ola.

'Ano o nā polyps

Ma kona Kora naʻEsau, i ka polyps i loko o ke kino o ke kanaka - e, ua ulu no kekahi mau mea, i ka mucosa paena. Ia mea, ka mea hiki ke hōʻike anywhere i loko o ke kino, uhiʻia me ka mucous. E like me ke 'inikua' ikepili helu, oi loa aku hoi i ka hailona o ka pilikia, oia ke adenomatous polyp, ole i kapaʻia he adenoma, a me ka mea he benignʻeho. Kaʻia "benign" 'o ia hoʻi ia i loko o kekahi wahi i hoomaka ai i ke kino koke e kaʻana keena uncontrollably, akā, a ka mea i oo ole hapa' ia 'hoomau i ka hana o ka loli ana o hui, a'aʻaʻa a metastasize. He mea pono no ia i ka manawa e hoʻopau ai i ke hoola ia. No ia mea, adenomatous polyp - mālie,ʻaʻole i ka hoʻopaʻi. Eia naʻe, me ka ana, i ka hapanui o benign hikoko lilo ana malignant. No laila, polyps, na Ana o a hiki 1 knm, iloko he kiʻekiʻe pahiki o invasive Ka maʻi 'aʻai keena,' o ia hoʻi, ka poʻe mea i metastasize kāinoa mua. Naʻe, i ka poe uuku a ka nui o ka hana-i i ka 100% kumu hoʻomalu o ka mālama 'ia hoʻi i ole, no ka mea, e haule ana na hihia ma ka maʻi' aʻai Ua hoʻomohala, mai ka hookahi polyp villi.

Mea Maluna

Mucous membranes o nā kānaka, a me ka nunui-pona ke kaumaha ma muli o ka kino i ka mea uhi, i he okoa 'ole o ka epithelium. Adenoma ulu ma ka mucosal epithelium o i ua poe e ka glandular 'ole,' o ia hoʻi ka mea, mai nā 'nui glands. Alaila, na polyps ke'ākoʻakoʻa i loko o ka opu, ka laau awaawa, bladder, ka naʻau liʻiliʻi, i loko o ka urogenital māhele 'āina.

Aia nō i ka helu o ka Mea Maluna ana hoʻohālike, koe wale no ka wahi:

1. E like me ke 'ano o ke kahua: ma luna o nā wāwae (kumu) paha ākea anuu (sedentary). Ua Ua manaoio ia wikiwiki hoʻomaka i ka sedentary metastases adenomatous polyp. Ka Hawaii photo luna hōʻike mea ia nana e like me ka nui sedentary polyp ma luna o ka intestinal paia.

2. ka nui: liʻiliʻi, meakino, nui. Oiai adenomas emi o 1 knm, ka mea, he poe uuku paha e lilo cancerous. Akä naÿe, i waena o nā adenomas nui ma mua o 1 knm e ma kahi o 13% i ka maʻi 'aʻai keena, a oi aku mamua o 2 knm pahiki degeneration i loko o ka maʻi' aʻai ua mua i 51%.

3. Ma ka helehelena: spherical, ka'ololaha, Fish-hoʻokino, manoanoa, pahee.

4. IIeEeAIEUAA: hookahi, wahine, Plural. Recent lālā i loko o Ka maʻi 'aʻai ana 2 manawa hou aku pinepine.

morphological hiʻona

Adenomatous polyp AeXIeAaOIePEAaI, opu, loa i na kino hoonohonoho i naʻano likeʻole, i loli ai nui ka prognosis no ke ola. Ka mea, ka poe hana pela.

1. glandular. Ua ninoieo o ka ai iiiaanoaa o glands a me ka waiwai i loko o na moku koko, ka connective'aʻaʻa. Ka mea, ua mahele ia i loko o benign, a me na hoailona o ka atypia (aeee lilo aku i ko lakou helehelena, ua hōʻailonaʻia kā lākou mau Kora naʻEsau) a me ka malingatsiey (atypical keena a me glands i bapetizoia ma ka muscular a me ka submucosal papa o na epidermis, i ua, i ka mea, e hoomakaukau ana e metastasize).

2. villous. Mau polyps nana velvety, e like me ka poo o cauliflower, pinepine i ka hoʻonaninani ili. Pahiki malingatsii ia ma luna o 60%.

3. glandular villous.

4. hyperplastic. Loa uuku, palupalu, hoopaa i ka maʻamau 'ole o ka mucosa.

5. nā 'ōpio. Malingiruyut aole no ka cystic glands a anuanu stroma.

6. fibrous. Ma ka stroma i ka puu me ka nui loa hoʻonui na moku, ma o na la e hoohalike ai hoʻoʻino infiltration.

7. Pololei.

kumu o ka

No ke aha la polyps hoʻomaka i ka ulu a ka mea, aohe mau pane. Kekahi kānakaʻepekema i manaʻo i ka mea hōʻike i loko o kanaka ma ka wa elemakule, 'ē aʻe hoole keia. 'Ikepili helu mai nei i loko o kahi mau keiki liilii i ka manawa, e ike i ka adenoma o 28% i loko o kanaka ma lalo o 30 makahiki - 30%, a ma ka kūpuna ma 70 makahiki - wale 12,8%. ʻO kā mākou helu o adenomas akomi i waena o nā makahiki o 40-50 makahiki.

Ie adenomatous polyp o ka rectum 'ole' ē aʻe kino hiki hou i kekahi makahiki, a hiki i na kamalii uuku (ike hihiaʻike anei i polyp i 2-malama-kahiko hunahuna ai i loko o ka'ōpū). Ka loa paha kumuʻepekema loaʻa:

- pathology ma embryonic ulu ana;

- nā kūpuna mai (na keiki o kona mau mākuaʻalo me BPH, ia mea no hoi paha e loaa ma kahi o 2 manawa kiekie);

- li nui o ka gastrointestinal nā loko (gastritis, colitis, ka hī koko, defecation pilikia a me kekahi poe e ae me);

- kūponoʻai;

- 'aʻe' ana i ka wa e noho ana o na mucous o ka'ōpū a me ka naʻau liʻiliʻi ma hope o ka hopena.

Adenomatous polyp o ka houpo

Kēia kino i loko o ka mua wahi ma luna o ka predisposition i keʻano o nā adenomas. E like me kekahi o na Mea Maluna ka nānā 'ana ma luna o morphological huapalapala, diagnose i kēia mauʻano o polyps o ka'ōpū.

- omo;

- papillary;

- hui (papillotubulyarnye).

Ua Ua Aia i loko o ka'ōpū ia mea haoʻa. Pela, i loko o ka luna hapakolu o ka 2241 nā mea maʻi hookolokolo aku la ia i loaʻa i loko o 2.1% o polyps ma ka waenakonu kolu o kēia mau huahelu i 17%, oiai i loko o ka haahaa kolu o ka mea, ua 66,8% o pathologies.

Ke malignantʻeho ia lŘlŘ i loko o ka'ōpū i ka Nohie noaia: maʻamau epithelium - polyp ho okumu - i loko o kona escalating carcinoma - Cancer. Loa pinepine ia i ka ha i ua ulu no mau makahiki, i ka i kā mākou o ekolu, akā, ma laila nō kekahi hihia ma kekahi polyposis kanaka e noho ana ma kahi o 20 makahiki.

Kumu o ka'ōpū adenomas i mau - aaiaoe?, Pathology i loko o ka ulu ana o ka embryo pae, hoʻoʻino maʻi,ʻano nui gastritis, unhealthy ai, alcoholism, maʻi gastrointestinal maʻi. Nō hoʻi, e like me nä känaka 'epekema, ka mea, o ka widening o na mucous i loko o ka'ōpū he hoʻonui i na neuropsychiatric kāna hana.

symptoms

Aia mea i hookahi lapaʻau kiʻi hōʻike o ka mea ia o ka'ōpū i ulu adenomatous polyp. Nā symptoms o kēlā me kēia hoomanawanui mea mau kanaka. Mawaena o ka loa, he pono ole i:

-ʻeha (i 88,6%);

- e manao ana i ka piha o ka opu, a hiki ma hope o ka hoopau ana o ka palena haʻahaʻa dala o ka ai;

- ua hoʻemi ikaika loa ka makemake;

- belching;

- nausea;

- mahuahua slyunoobrazovanie;

- flatulence;

- heartburn;

- i kaʻawaʻawa loa ho'āʻoʻana i loko o ka waha.

Pain pinepine ikeia ma hope o kaʻai a me nā hola noho mālie, a laila, emi iho.

Ma waho aʻeo ia na symptoms ano o polyps i loko o nā mea maʻi me na symptoms ike ia i loko o ke kino, he mea he pilikia. Kēia luhi, nawaliwali, a me kekahi manawa wela, Kanikani'āʻula, headache, kaumaha, causeless.

Aia vnezheludochnye hoailona ma i kekahi ke manao i ke alo o ka polyposis, o ka oi aku ina ia mea hereditary. Kēia wahi ma luna o kaʻili (puni na lehelehe, ihu, pāpālina, umauma, lima, hoʻi, opu,'ā'ī) i loko o ka palapala o ka freckles, ma kekahi malie, a ma kekahi manawa e ole hoʻololi 'ana i kā lākou mau helehelena.

lapaʻau '

Adenomatous polyps i loko o kekahi hui, kēia mea kokoke ole, e huai ae me ka lako e lapaʻau 'ana. ka mea, nā mea o ka'ōpū:

- ultrasonography;

- X-Ray me ka barium mānoanoa wai (ka pono o ka hola 4,6% o na hihia);

- gastroscopy;

- fibrogastroscopy;

- biopsy;

- gastrolaparoskopiya.

No emi nui, a me ka keʻena hoʻokolohua Ka Ikepili o gastric wai, ke koko, a me ka naoh no occult koko i loko o ka'ōpū Contents.

ʻO kā mākou hopena haawi i ka ana ma kekahi mau ano.

Adenomatous AeXIeAaOIePEAaI polyps

Kēia maʻi o ka lua o ka "maikai o Iabeza imua" wahi hope gastric polyposis. Wahi a ka 'ikepili helu, e helu polyps ma ka AeXIeAaOIePEAaI me keia alapine (frequency).

- Women - 46%;

- kanaka - 53%.

Ke kaukaʻi ana o ke kūpono 'ana o ka maʻi ma ka makahiki, ua like penei:

- nā mea maʻi 41 a hiki i 60 makahiki - 56%;

- mai ka 31 a hiki i makahiki 40 - 23%;

- mai ka 14 a hiki i 30 makahiki - 10%.

Degeneration o polyps i loko o ka malignantʻeho loaʻa kekahi kaukaʻi ma luna o lākou helu. No laila, inā i loko o ka rectum 5 a oi o kēia nāʻoihana, e hoʻomōhala i loko o Ka maʻi 'aʻai i loko o 100% o ka hihia.

Ma ka AeXIeAaOIePEAaI polyps ua i haawi unevenly. Ke'ī mai, ma o ka pii aku kekahi hapa o ka mea kākau 13% o na hihia a pau i loko o ka transverse AeXIeAaOIePEAaI hapa - 13.5%, ma ka sigmoid loa a me ka rectum - 73,5%. Nā kumu o nā polyps i loko o ka naʻau liʻiliʻi i ka hola o ka ia me ia ma ka hopena o ia mau mea i loko o ka'ōpū, akā, ua haawiia mai i na kumu ao hoʻoʻino maʻi i ka makakoho. Ke'ī mai, i waena o ka 455 examinees i loaʻa polyps, 30% e ae mai ka maʻi illnesses (colitis, proctosigmoiditis, a me na mea e ae), a me 16,4% chickenpox ka hī koko. Ua pâʻani 'o ia i ka nui a Mānoa, a no kou kino. No keia kumu, colitis i loaʻa i loko o oi ma mua o 50% o ka hihia.

Symptoms a me kaʻike, o polyps i loko o ka naʻau liʻiliʻi

Ano helehelena wale no intestinal polyposis ole. Pinepine i ka lōʻihi manawa, e hoomanawanui i mai i haha aku i ka hoailona i ka mea, i ka hoʻomaka 'ana i ka ulu adenomatous polyp. Ka loa ano symptoms o ka maʻi.

- ke koko i loko o ka feces (89%);

- i ka hooulu ana o ka maʻi ke kahe ana ke koko ma hope o ka naʻau i ka hele 'ole;

- diarrhea ole constipation (55.2%);

-ʻeha ma ka abdomen;

- aa ana a me / ai maneo o ka anus (65%);

- anaemia (7%);

- nausea;

- heartburn;

- headaches;

- belching;

- flatulence;

- ʻeha i loko o ka rectum, hiki i ka lalo hoʻi a me ka sacrum.

Lapaʻau 'nā palpation, ultrasound, X-Ray, sigmoidoscopy, papa Hoʻokolohua-radiometry, colonoscopy, fibrocolonoscopy, keʻena hoʻokolohua ho'āʻo ma.

Polyps ma ka gallbladder

Adenomatous polyp o ka gallbladder - he ke nānā maʻi, 'ia ma ke emi o ka 1% o nā mea maʻi a pau me ka polyposis. Wahi a ka 'ikepili helu, oi maʻi e loli ai kanaka no 45 makahiki. Ka gallbladder - He uuku loa kino, i loko o nā mākua ia mea pono 14 knm loa, a 5 knm i loko o ka laula. E like me ka mea 'ole ka mea kohu heʻeke me ka lahilahi pā pōhaku, he lehulehu kino, ka tapered'ā'ī, a me ka loa haiki loa o ka i nā lā hoʻi bile leki uea. Ka loa paakiki kulana home 'ole ua manaoia e ia i ka wahi o nā polyps i loko o ka cervix a leki uea. Ma keia hihia, ke auoiaea ua wahi bile i loko o ka naʻau liʻiliʻi, a me ke ahonui i jaundice o ka ili a me ka 'oiaʻiʻo ma loko o ka maka. Ma waho aʻeo ia keia hiʻona, loaʻa nō nā'ōuli i ka laau make hiki mahuahua polyp:

- aching eha;

-ʻaʻa puʻuwai colic;

- nausea (oi loa ma ke kakahiaka);

- ke kaumaha loa i loko o ka waha;

- indigestion.

Nā kumu o ka maʻi i lilo i wela ai ka laau awaawa, a me ka mucosa,'āno'ē pūnao,ʻai, nā kūpuna mai.

ʻike, ua i ka ultrasound, ultrasonography. Iapaau ana Heʻano nuiʻoki lāʻau lapaʻau, iloko olaila i loko o ke ana o ka gallbladder. Wale i loko o kekahi mau hihia, i kou kauka i hoakaka ia ka lapaʻauʻia kahi o kaʻoki kino? Eaia - "ursosan" a me "Ursofalk".

lapaʻau

Ke kaumaha ma muli o ka wahi, ka nui a me nā 'ano o ke kauka prescribes ka iapaau ana adenomatous polyp. Inā ka mea, ua loaʻa i loko o ka'ōpū,ʻoki kino wale mea hiki, no ka mea,ʻaʻole i ka lapaʻauʻia e e i polyp e ulu hoʻi. Akala wale hulina i ka hoʻoikaika 'ana i ka nohona ma kiʻi, akā, mai emi i ka pilikia o ka degeneration i loko o Ka maʻi' aʻai hikoko. I ka kaʻimiʻana hookahi polyp pōpilikia 'ua lawe mai wale ia, a me ka wā kaʻimiʻana mau ka ulu o ke - gastric resection.

Kekahi hana o ka lapaʻau - polypectomy me ka endoscope. Ua Ua hōʻike no stebelnyh polyps HEN i nui mai ka 0.5 knm a oia i ka wehe ia ma ka mea hiki ke hooheheeia ami. Ma kekahi mau hihia, ka mea, ua hana ma luna o ka outpatient manawa. Biopsy ma hope o kēia hana ua koi 'ia. Mau ia ano o ka hana maikaʻiʻole o polyps ma ka poe uuku a me ka naʻau liʻiliʻi AeXIeAaOIePEAaI. Ma ka rectum, ina ua loaʻa he adenoma ma ka mamao o 10 knm mai ka anus, he mea hiki excision ma lalo o kūloko anesthesia.

Small ka ulu o ke wehe hoʻohana 'electrocautery.

I waena o kēia nohoʻana no ka hoopau ana o polyps kukunaʻikepili paha e ua paipaiʻia, pou impulses a Radio eʻe.

Ma kekahi hihia, ma hope o ka hopena o ka hoʻomanawanui wahi a hiki i ka ikaikaʻai.

Ua Ua manaoio ia benign polyps i loko o ka naʻau liʻiliʻi nui hiki ke hoola iho la enemas me celandine, a pono e hana i ka uku o 25-30. Ua hoomakaukauia ke kākoʻo pāʻoihana like penei: 50 nā huna o ka uliuli na lau, a anei i kink i loko o kaʻai grinder, ninini 300 ml o hoolapalapa wai, e kali oe a me, Kānana. 2 hola ma mua o ka pākōlea enemas hana i ka hoʻomaʻemaʻeʻana. Ka pāʻoihana celandine hoomanawanui pono paa iho i ka 1.5 hola, a me na keiki - i no 30 minuke. Kaʻina hana i lawe mai i loko o ka lā.

He nui: he nui nā mea maʻi, i kēia iaoia i hooiaio mai, a me ka lakou i hanaʻoki kino, e wehe i polyps i ulu i loko o malignant hikoko.